Active NPI
Thoracic & Vascular Associates of Kinston PA
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Kinston, NC
National Provider Identifier
1578533261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Legal business name
- THORACIC & VASCULAR ASSOCIATES OF KINSTON PA
- Practice address
- 204 Airport Road
Kinston, NC 28504-8814 - Phone
- (252) 939-9300
- Fax
- (252) 939-9305
- NPI assigned
- Jan 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joseph D Whitlark, MD
- Title
- Owner
- Phone
- (252) 939-9300
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infusion Therapy Registered Nurse | 163WI0500X | |||
| Surgery Physician | 208600000X | |||
| Vascular Surgery Physician | 2086S0129X | |||
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | Primary |
Addresses
Primary practice location
204 Airport Road
Kinston, NC 28504-8814
Mailing address
PO Box 5485
Kinston, NC 28503-5485
Phone (252) 939-9300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89012VX | Medicaid | NC | |
| 012VX | Other | NC | BCBS GROUP |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Kinston, NC
- NPI 1336273606
-
- Vascular Surgery Physician
- Elizabeth City, NC
- NPI 1629037445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1348099200000",
"number": "1578533261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5485",
"city": "KINSTON",
"state": "NC",
"postal_code": "285035485",
"telephone_number": "252-939-9300",
"fax_number": "252-939-9305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 AIRPORT ROAD",
"city": "KINSTON",
"state": "NC",
"postal_code": "285048814",
"telephone_number": "252-939-9300",
"fax_number": "252-939-9305"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THORACIC & VASCULAR ASSOCIATES OF KINSTON PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-25",
"last_updated": "2012-09-20",
"status": "A",
"authorized_official_last_name": "WHITLARK",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "252-939-9300",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "163WI0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Infusion Therapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89012VX",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP",
"identifier": "012VX",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kinston, NC
- Katharine Elise Ten Pas, R.D.
- The Therapy Company, PLLC
- The Village of Kinston Assisted Living LLC
- Dimitri M. Thomas, M.D.
- Joyce Singleton Thomas
- Thorasic and Vascular Associates of Kinston
- Thutt Enterprises Inc.
- Allison Fussell Tilghman, MPT, CWS
- Carnella Tilghman, CNA 2, BLS PROVIDER,
- Johnnie Belinda Tilley, MA, LPCA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.